tbuckley/cabot-search huggingface dataset:
The Emergency Medical Care System
Authors: Richard F. Manegold
Journal: JAMA (1967)

Medicine's lifesaving techniques and the system organized to deliver them are in sharp contrast. Progress in medicine's lifesaving techniques is dramatic. Today there are cardiac monitors and pacemakers, exquisite surgical techniques, drugs of great potency, institutions splendidly equipped and superbly staffed. These are available for many. Emergency medical systems in most cities and nearly all rural areas, however, do not often enough bring the patient at the right time to the right place; nor is there assurance the patient will get the proper treatment by the proper professional. Progress in this system is not dramatic. An emergency need exists in a patient's mind until he is convinced by a health professional that his life or well-being or that of a loved one is not threatened. When an emergency exists, professional decisions are required to determine the time, the type, the amount and the place of treatment. The child with a
AMERICAN ACADEMY OF MEDICINE.
Journal: JAMA (1891)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Teratogenic Effects of Asian Influenza
Authors: Miriam G. Wilson
Journal: JAMA (1969)

This report is an extension of the study by Wilson and associates<sup>1</sup>on the teratogenic effects of Asian influenza. The original report included only 126 of the 738 pregnancies with serological data regarding Asian influenza. Since the results of our early report and other investigations<sup>1-7</sup>have not been conclusive regarding the teratogenic effects of Asian influenza, we decided to search for the medical records of the pregnancies in our original cohort which had not been examined. Our original cohort represented a large number of patients with serological evidence of influenza infection. Few studies have had such substantiating serological data.<sup>5,7</sup>Other studies have used primarily medical history for evidence of influenza in the mothers, which is not completely satisfactory. In fact, our data showed that history of influenza and serological titer in the mothers were not correlated. Sixty percent of the mothers who denied having had influenza were
Chirurgie de l'oreille du nez, du pharynx et du larynx.
Journal: JAMA (1924)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Oxytocin Administration Under Nurse Supervision
Authors: R. F. Zito
Journal: JAMA (1971)

<h3>To the Editor.—</h3> Goodlin believes his hospital experience indicates that qualified nurses are capable of safely monitoring patients in labor who are receiving oxytocin intravenously. He further states that the hospitals in his area that insist upon physician-supervised administration show a high percentage of intropartum intramuscular or buccal oxytocin use—both of which are probably much more hazardous than the intravenous route regardless of who supervises or is responsible. The apparently better results regarding intropartum fetal death while parturients were being given oxytocin under nurse supervision probably indicate that the nurses did a significantly better job in observing the patients than did the doctor. What a reflection this is of the physicians who are supposedly taking care of their patients. Perhaps a little boning up by the doctors on recognition of fetal distress and management of oxytocin administration is indicated so that they can at least be on a par with
Isolated, Subcutaneous, Rheumatic-like Nodules
Authors: Edward H. Miller
Journal: JAMA (1971)

Isolated, subcutaneous, rheumatic-like nodules occurred in five children. Auricular myocardial biopsy performed in one child disclosed no evidence of rheumatic fever. Isolated, subcutaneous, rheumatic-like nodules, though rare, should be considered in the differential diagnosis of an enlarging mass on an extremity.
Variations in Recommendations of Ethics Consultants
Authors: Ray Moseley
Journal: JAMA (1994)

<h3>To the Editor.</h3> —The data presented by Fox and Stocking<sup>1</sup>are insufficient to justify the authors' broad conclusion that there is "wide variability in ethics consultants' recommendations." The vignette used in the study lacks many of the factual nuances necessary for a consulting ethicist to form an appropriate recommendation. We can think of no consultant who would be willing to make an actual recommendation based on such simplistic information. For example, an ethics consultant must know much more than just the fact that the patient has an advance directive (AD) and that the family wants "everything done" (variation 2). Without additional specific information, the survey respondent could assume that the AD is valid and that the family's requests are based on an irrational or emotional reaction, or just as likely, the respondent could assume that the AD was signed (as many are) when the patient was only marginally competent
Abortion Legislation
Authors: Aubrey Milunsky
Journal: JAMA (1982)

AT PRESENT there is congressional activity in Washington, DC, that poses grave danger for the future of medical practice in the United States. It involves the desire of certain politicians to limit the rights of both physicians and patients to decide whether an abortion is required or desirable. Through the use of a proposed constitutional amendment or federal statutes, the federal government could be put in the position of telling physicians what medical procedures they can or cannot perform. This is dissimilar to the ruling that the federal government will not pay for abortions for indigent women (a physician could still provide an abortion although payment is an issue).<sup>1</sup>It is more restrictive than the Food and Drug Administration's regulation of drugs that involves the interstate shipment and sale but not their prescription for specific patients.<sup>2</sup>This new government action could outlaw, or permit the outlawing by states,
Primary Prevention of Sexually Transmitted Diseases
Authors: Lonny Myers
Journal: JAMA (1986)

<h3>To the Editor.—</h3> Congratulations on your coverage of sexually transmitted diseases in the April 4 issue of<i>JAMA</i>. I have three comments on the article dealing with primary prevention.<sup>1</sup> 1. Why was there no mention of postcoital disinfection? There is an ointment (Sanitube) that males can apply after coitus to greatly reduce the risk of acquiring gonorrhea and syphilis. The ointment may well also reduce the risk of acquiring chlamydia, but I know of no studies to prove this. Postcoital disinfection was used successfully in at least four wars and has been available for more than 300 years. Back in the early 1900s,<i>JAMA</i>published dozens of articles on the effectiveness of postcoital disinfection. Why does the medical profession insist on excluding this method of prophylaxis so enthusiastically endorsed 50, 60, and 70 years ago? 2. It is too bad that it has taken 50 years to decide to
Intrafamilial violence may turn sexually abused boys into abusers
Journal: BMJ (1998)

Mortality is high in treated hypertensionAlthough treatment of hypertension reduces cardiovascular complications, the long term prognosis of treated hypertension is virtually unknown.For over 20 years Andersson et al (p 167) studied 686 men treated for hypertension.Compared with controls they showed a significantly increased mortality especially from myocardial infarction.The prognosis was apparent only after 10-12 years.Serum cholesterol concentration was one of the most important risk factors for dying from myocardial infarction.
The Book of Health: A Medical Encyclopedia for Everyone
Journal: JAMA (1953)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Serendipity, Lithium, and The Affective Psychoses
Authors: Bruce S. Schoenberg
Journal: JAMA (1969)

<h3>To the Editor:—</h3> It is remarkable how often serendipity plays a role in scientific discovery, especially in the field of medicine. I enjoyed reading Levy's paper concerning the use of lithium salts in the treatment of affective psychoses.<sup>1</sup>I was somewhat disappointed, however, in his not mentioning the fascinating story of how Cade came upon the idea to use lithium in the treatment of manic-depressive disorders. As Cade himself describes it: In the course of some investigations by the writer into the toxicity of urea when injected intraperitoneally into guinea-pigs, it appeared desirable to ascertain whether uric acid enhanced this toxicity. The great difficulty was the insolubility of uric acid in water, so the most soluble urate was chosen— the lithium salt. When an aqueous solution of 8% urea, saturated with lithium urate, was injected, the toxicity was far less than expected. It looked as if the lithium ion
The Breaking of a Profession
Authors: E. Grey Dimond
Journal: JAMA (1984)

THE SUDDEN opening of China to foreign visitors following the pingpong event of 1971 created an entire new school of China watchers. Thousands became instant authorities following their 21-day travel immersion. Most of us could base our knowledge only on what we saw and heard in our three-week period, and we new China watchers were filled with briefings by Responsible Members of revolutionary committees. It was not a matter of brainwashing or misled thinking; the messages given in the briefings were in part propaganda, but they were equally an accurate report on what policies were operational in China. The American who returned home and reported that there was an intense spirit of "serve the peasant," "serve the peasant, workers, and soldiers," and "go down to the countryside and help the poor peasant" was not misled. The strength of Mao Zedong's messages was multiplied by the effectiveness of the communist system.
Tuberculosis Screening and Indications for Preventive Therapy
Authors: Robert Carlen
Journal: JAMA (1992)

<h3>To the Editor.</h3> —Dr Lefrak<sup>1</sup>says that close contacts of individuals with newly diagnosed active tuberculosis should be started on preventive therapy with isoniazid when the contact's tuberculin skin test is greater than 5 mm induration. (Active tuberculosis in the contact has been excluded by thorough history and physical examination and chest roentgenogram.) But withholding isoniazid in a tuberculin-negative contact appears contrary to basic principles and is contrary to the guidelines of the International Union Against Tuberculosis and Lung Disease.<sup>2</sup> After infection, the skin test takes at least 4 weeks to convert and may take as long as 12. (It may never convert: tests in 25% to 50% of very young children with proven tuberculosis remain negative.<sup>2</sup>) Withholding isoniazid leaves the unprotected contact at risk of developing active tuberculosis, which is especially dangerous in children, who may get disseminated (miliary) disease or meningitis. The International Union Against
Evidence of new physical, genetic, links in autism
Authors: B. Merz
Journal: JAMA (1989)

THE JOHNS HOPKINS Medical Institutions' centennial, major events of which will take place in the next few days, is reviving some fascinating questions of American medical history. Would the university and hospital that bear his name ever have been founded if Baltimore banker Johns Hopkins had overcome family resistance and married the one woman he is said to have truly loved (instead of remaining a lifelong bachelor)? What would today's three-hospital system (55 000 inpatients and nearly 1 million outpatients annually) be like if physicians William H. Welch, William S. Halsted, William Osler, Howard Kelly, and John S. Billings had not served Hopkins in its early days? While there are no precise answers to questions like those, the quality of work being done today at Hopkins—In the hospitals and schools of medicine, public health, and nursing—speaks for itself. It is apparent in the reports in this theme issue of<i>JAMA</i>
A/USSR and B/Hong Kong Vaccine
Authors: Hjordis M. Foy
Journal: JAMA (1981)

Young adults vaccinated in late spring of 1978 with one dose of vaccine containing either 7 μg or 20 μg of A/USSR (H1N1) hemagglutinin, followed by a dose of trivalent (A/USSR, A/Texas, B/Hong Kong) vaccine, were observed through an epidemic of A/Brazil influenza in the winter of 1978-1979, and of influenza B in 1979-1980. Influenza infection was diagnosed by virus isolation or serological titer rises between the spring seasons of 1978, 1979, and 1980. During the A/Brazil epidemic, rates of reported influenza-like illness and serologically confirmed H1N1 influenza infections were similar for all vaccine groups and two control groups. Naturally acquired antibody, but not vaccine-induced hemagglutinationinhibiting antibodies (HAI), appeared protective. During the influenza B epidemic, a lower rate of serologically confirmed infections was observed in the 1978 vaccine cohort than in one control group. (<i>JAMA</i>1981;245:1736-1740)
Clinical Estimation of Functional Nephron Population
Authors: Herbert Lubowitz
Journal: JAMA (1968)

A careful assessment of renal function is essential to the diagnosis and management of patients with renal disease. The determination of glomerular filtration rate (GFR) provides a quantitative index of the functional nephron population. Glomerular filtration rate is an essential test to establish the rate of progress and the prognosis of renal disease. Serial determinations of GFR can be used to gauge the efficiency of therapeutic measures and to follow closely the evolution of disease processes. In selected instances, the evaluation of kidney size may be important to clarify information obtained from measurements of GFR. The time factor involved in changes in kidney size assumes importance when renal size is made a basis of measurement. Kidney size provides useful information as to the natural history of renal disease. Neither test (determination of GFR or kidney size) excludes the necessity for a thorough work-up and a careful examination of the urine
Direct-to-Consumer Advertising: Education or Anathema?
Authors: Fred Rosner, Pieter Kark, Samuel Packer, Allen Bennett, Jeffrey Berger
Journal: JAMA (1999)

To the Editor: As members of the Committee on Bioethical Issues of the Medical Society of the State of New York, we agree with Dr Hollon1 that DTC advertising creates consumer demand, but disagree with Mr Holmer's2 claim that such advertising builds bridges between patients and physicians.
Coccidioidomycosis Accompanied by Acute Tracheal Obstruction in a Child
Authors: Benjamin Winter
Journal: JAMA (1966)

To the authors' knowledge, this is the first reported case of acute tracheal obstruction due to coccidioidal granuloma of the trachea. The patient, a 2 1/2-year-old white girl, presented with clinical symptoms and physical signs suggestive of laryngotracheobronchitis. Coccidioidomycosis has gained new importance as a widespread phenomenon, and there is a need for physicians to be aware of this disease in areas far removed from the endemic Pacific Southwest.
Pertussis Vaccines
Authors: Regina Rabinovich
Journal: JAMA (1994)

Since pertussis vaccines were introduced in the 1940s, physicians have recognized their association with adverse events, and this association has continued to the present time. Today we use whole-cell vaccines made up of killed inactivated organisms of<i>Bordatella pertussis</i>that contain a multitude of antigens, some of which induce protection to severe whooping cough. Several of these materials, such as endotoxin, may account for these vaccines' reactogenicity. Commonly reported minor reactions include pain and swelling at the injection site, fever, and vomiting. More worrisome to parents and physicians are episodes of somnolence, febrile seizures, unusual prolonged screaming, and hyporesponsive-hypotonic episodes; yet none of these has been demonstrated to be associated with permanent sequelae.<sup>1</sup>
Suspected Cutaneous Anthrax in a Laboratory Worker—Texas, 2002
Journal: JAMA (2002)

On March 6, 2002, CDC's National Institute for Occupational Safety and Health (NIOSH) received a request for a health hazard evaluation from the director of Laboratory A to assist in the evaluation of a worker who had been diagnosed with cutaneous anthrax. Laboratory A, a provisionally approved Laboratory Response Network level B laboratory, had been processing environmental samples for Bacillus anthracis in support of CDC investigations of the bioterrorist attacks in the United States during fall 2001. Since March 7, CDC has interviewed the ill laboratory worker and other workers at the laboratory and conducted environmental assessments of the workplace. This report summarizes the epidemiologic and environmental investigation of this case, which indicates that the likely source of exposure was the surface of vials containing B. anthracis isolates that the worker placed in a freezer on March 1. Laboratory workers handling specimens of B. anthracis should follow recommended procedures to minimize the risk of B. anthracis transmission and anthrax.
Innovations in Monoclonal Antibody Tumor Targeting
Authors: Jeffrey Schlom
Journal: JAMA (1989)

<h3>SELECTED CASE</h3> A 33-YEAR-OLD woman presented with a history of infertility following a normal pregnancy three years previously. A hysterosalpingogram showed a fallopian tube blockage. She underwent an exploratory laparoscopy with findings that suggested chronic pelvic inflammatory disease. During a laparotomy for tubuloplasty she was found to have a ruptured adenocarcinoma of the appendix, with tumor coating the liver, diaphragm, and peritoneum. The peritoneal cavity was washed out. She remained asymptomatic, with no progression of disease seen during laparoscopy one year later. Three years later, during a physical examination, she was found to have a large, pelvic recurrence and underwent abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and debulking of gross tumor, with residual tumor left behind. Radiographic evaluation, including a computed tomographic scan of the abdomen, an intravenous pyelogram, and a barium enema examination, showed no evidence of disease. She was then referred to the Surgery Branch of the National Cancer
Human Placental and Pituitary Glycoprotein Hormones and Their Subunits as Tumor Markers: A Quantitative Assessment&lt;xref ref-type="fn" rid="FN2"&gt;2&lt;/xref&gt;&lt;xref ref-type="fn" rid="FN3"&gt;3&lt;/xref&gt;&lt;xref ref-type="fn" rid="FN4"&gt;4&lt;/xref&gt;
Journal: JNCI Journal of the National Cancer Institute (1980)

Journal Article Human Placental and Pituitary Glycoprotein Hormones and Their Subunits as Tumor Markers: A Quantitative Assessment Get access Marc R. Blackman, Marc R. Blackman Search for other works by this author on: Oxford Academic PubMed Google Scholar Bruce D. Weintraub, Bruce D. Weintraub Search for other works by this author on: Oxford Academic PubMed Google Scholar Saul W. Rosen, Saul W. Rosen Search for other works by this author on: Oxford Academic PubMed Google Scholar Ione A. Kourides, Ione A. Kourides Search for other works by this author on: Oxford Academic PubMed Google Scholar Kurt R. Steinwascher, Kurt R. Steinwascher Search for other works by this author on: Oxford Academic PubMed Google Scholar Mitchell H. Gail Mitchell H. Gail Search for other works by this author on: Oxford Academic PubMed Google Scholar JNCI: Journal of the National Cancer Institute, Volume 65, Issue 1, July 1980, Pages 81–93, https://doi.org/10.1093/jnci/65.1.81 Published: 01 July 1980 Article history Received: 25 September 1979 Accepted: 26 December 1979 Published: 01 July 1980